Alison Bridget Dwyer, APRN
Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Provincetown, MA
NPI 1972624328 · NPPES record last updated May 10, 2021
Key facts
- NPI
- 1972624328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
- License
- PPNS00076 (RI)
- Practice address
- 26 Court St RM 4
Provincetown, MA 02657-1322 - Phone
- (401) 263-8735
- Fax
- (617) 812-9141
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200115000431 | MA | Practitioner - Nurse Practitioner | 6305271628 |
Reassigns benefits to 1 organization Practice locations: Provincetown, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPNS00076 | RI | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Ease Mental Health Inc | Psychiatric/Mental Health, Adult | Current |
Accepting new patients |
| Complete Care Chiropractic, Inc. | Past |
Accepting new patients |
Locations
26 Court St
Unit 4
Provincetown, MA 02657
Phone (508) 444-9966
26 Court St
Provincetown, MA 02657
Phone (508) 444-9966
26 Court St
Rm 4
Provincetown, MA 02657
Phone (401) 263-8735
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | PPNS00076 | RI | Yes |
Addresses
Primary practice location
26 Court St RM 4
Provincetown, MA 02657-1322
Mailing address
PO Box 863
Provincetown, MA 02657-0863
Phone (401) 263-8735
Other practice location 1
57 Rt 6A Unit 2
Orleans, MA 02653-2409
Phone (401) 263-8735
Other providers in Provincetown, MA
- Dr. Mark E. Schiffman
- Michael Dubour
- Timothy Joseph Duffy
- Heather L Duncan
- Catherine Marie Dunham
- Marwa Elleboudy
- Paul Frederick Fader
- Maggie Rose Fogg
- Cynthia Anne Franco
- Pamela French,
All providers in Provincetown, MA · Adult Psychiatric/Mental Health Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.